Prevention of abdominal wound dehiscence and Nursing.doc

 PAGE \* MERGEFORMAT 5 Prevention of abdominal wound dehiscence and Nursing [Keywords:] abdominal surgery, incision dehiscence, prevention, care Abdominal wound dehiscence is more common surgical complication, the light performance of bleeding exudate, severe visceral prolapse, requires attention. This will double Hill Hospital from 2003 to 2008 84 patients with surgical abdominal incision dehiscence were retrospective analysis, combined with the literature study will report the following prevention and care measures. 1 Clinical data 52 cases of this group of male and female 32 cases, the youngest 4 months, maximum 84 years old. Incision split time: 3 ~ 8 d. Youlei after incision in 15 cases, abdominal white line incision in 9 cases. Incision Department split up in 52 cases, 32 cases of complete dehiscence. incision dehiscence Bag lower 34 cases of deep, deep preperitoneal sheath in 28 cases, 22 cases of deep abdominal cavity. using secondary suture surgery for 34 cases, of which 2 died of respiratory failure, and the other 50 cases were treated by repeated dressing better. 2 causes abdominal incision dehiscence In addition to infection factors, the surgical incision dehiscence have a certain relationship with the following reasons: patients with prolonged anemia, poor nutrition, such as suffering from cancer, cirrhosis, kidney disease, serious impact on wound healing force, not only prone to wound dehiscence, can place a variety of anastomotic leakage, elderly patients because of physical decline, organizational growth and low power, coupled with other systems associated with diseases such as chronic bronchitis, enlarged prostate, diabetes, healing of the incision, the subcutaneous female patients fat thickness, surgical trauma easily lead to fat liquefaction of wound dehiscence occurred, inappropriate preoperative skin preparation, the skin is not cleaned with soap and water and keep the skin knife to scratch the skin, etc., anesthesia,